THE MOUNT ZION MEDICAL CLINICS PA (NPI# 1316160641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316160641 |
| Entity Type | Organization |
| Organization Name | THE MOUNT ZION MEDICAL CLINICS PA |
| Practice Address |
6010 E Wt Harris Blvd Charlotte NC 28215-4084 |
| Practice Telephone | 7045633900 |
| Practice Fax Number | 7045633191 |
| Mailing Telephone | 7045633900 |
| Mailing Fax Number | 7045633191 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | DR. UGWUALA NWAUCHE (OWNER) |
| Authorized Official Telephone | 7045633900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
200401105 | NC | Ambulatory Health Care Facilities |
| Street Address |
6010 E WT HARRIS BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366429094 | Joel Wesley Thompson | Physician Assistant | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 | 2005-12-23 |
| 1083222046 | Michael Deme | Pharmacist | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 | 2020-07-16 |
| 1235671520 | Mandy Irvin | Pharmacist | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 | 2016-11-17 |
| 1700328382 | Ansley Guibault | Pharmacist | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 | 2016-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083125892 | Johnson Therapy Services | Clinic/Center | 10216 Perimeter Pkwy # 9, Charlotte, NC 28216-2461 | 2017-10-19 |
| 1508220575 | Pediatric Hair Solutions Corporation | Clinic/Center | 6923 Shannon Willow Rd, Ste 100, Charlotte, NC 28226-1330 | 2016-04-06 |
| 1265891105 | Brain Function Clinic Pllc | Clinic/Center | 447 S Sharon Amity Rd Ste 130, Charlotte, NC 28211-2836 | 2016-02-21 |
| 1255704615 | Home Town Compounding Specialists | Clinic/Center | 6822 Charette Ct, Charlotte, NC 28215-9424 | 2015-11-07 |
| 1013304211 | Eagle Rising Health Services, Pllc | Clinic/Center | 8815 University East Dr Ste 215, Charlotte, NC 28213-4100 | 2015-04-25 |
| 1982859690 | Truecare LLC | Clinic/Center | 4935 Albermarle Road, Upper, Charlotte, NC 28205 | 2008-11-21 |
| 1295987766 | Concentra Health Services, Inc. | Clinic/Center | 2835 Jeff Adams Dr., #a, Charlotte, NC 28206-1061 | 2008-10-16 |
| 1912159336 | Concentra Health Services, Inc. | Clinic/Center | 4221 Tuckaseegee Rd., Charlotte, NC 28208-2801 | 2008-10-16 |
| 1821240391 | Concentra Health Services, Inc. | Clinic/Center | 646 Westinghouse Blvd., Charlotte, NC 28273-6303 | 2008-10-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.